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Persistent delirium after hip fracture — DGM MCQ

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ModerateDeliriumPersistent delirium after hip fractureDGM

An 85-year-old woman with delirium after a fractured hip remains confused despite treatment of pneumonia, constipation and pain. She has poor oral intake, fluctuating arousal and new swallowing difficulty. The ward team needs support with rehabilitation and discharge planning. What is the most appropriate referral?

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Correct answer: B — Specialist geriatric or orthogeriatric team

Persistent delirium with frailty, nutrition, swallowing and discharge issues requires specialist geriatric input within a multidisciplinary framework. Audiology may help if hearing is a contributor, but it does not address the acute complexity. Delirium often determines rehabilitation success after hip fracture.

Reference: NICE CG103; NICE CG124